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coagulopathy made easy. Dr.Ali Ahmad KBA PGY2. the pathways. high ptt . Heparin effect The Correction The Inhibitor effect . causes of high ptt . DIC heparin therapy factors deficiencies ( 11.10.9.8 ) inhibitors such as LA . ACL . VWD .hemophilia . . high PT and INR .

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coagulopathy made easy
coagulopathy made easy
  • Dr.Ali Ahmad KBA PGY2
high ptt
high ptt
  • Heparin effect
  • The Correction
  • The Inhibitor effect
causes of high ptt
causes of high ptt
  • DIC
  • heparin therapy
  • factors deficiencies ( 11.10.9.8 )
  • inhibitors such as LA . ACL .
  • VWD .hemophilia .
high pt and inr
high PT and INR
  • warfarin therapy
  • factors dependent of vit K
  • liver
  • DIC
clinical scenario
clinical scenario
  • 30 y old male obese known to have thrombosis with PE on warfarin . admitted due to mild bleeding per rectum .
my anticoagulated pt is bleeding
my anticoagulated pt is bleeding
  • HASHTI .
  • 1-Hold
  • 2-Antidote
  • 3-Support
  • 4-Hemostatic measures
  • 5-Transfusion
  • 6-Investigate
  • level of urgency .
antidotes high pt hi
antidotes high PT hi
  • vit K
  • FFP
  • prothrombin complex concentrates
  • recombinant factor 7
clinical scenario1
clinical scenario
  • 46 years old pt taking clexane for DVT prophylaxis . know D/A admitted with LL fracture need urgent surgery .
antidotes
antidotes
  • protamine sulfate .
  • Fresh frozen plasma .
thanks
THANKS
  • God bless medicine
  • So others may live